Robert R Gamboa
Robert R Gamboa is a Mental Health Counselor in Thomaston, Georgia. Qualified in 2022, 4 years ago. Licensed in Georgia.
- Years since qualifying
- 4
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
713 Andrews DrThomaston, GA 30286-4524
Phone: (770) 358-5252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence APC008821 (GA) |
|---|
Record details
| NPI number | 1174220438 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 7, 2023 |
| Last updated in NPPES | February 7, 2023 |
| Certification date | February 7, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |